| Regimental number | 6031 |
| Place of birth | Melbourne Vic |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Northam, Western Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Ellen Hollingsworth, Stirling Street, Northam, Western Australia |
| Enlistment date | 13 March 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 7 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 8 April 1917 |
